Dalraida Clinic in Montgomery, AL - Medicare Clinic/Center

Dalraida Clinic is a medicare enrolled primary clinic (Clinic/center) in Montgomery, Alabama. The current practice location for Dalraida Clinic is 4135 Atlanta Hwy, Montgomery, Alabama. For appointments, you can reach them via phone at (334) 647-1444. The mailing address for Dalraida Clinic is 4135 Atlanta Hwy, Montgomery, Alabama and phone number is (334) 647-1444.

Dalraida Clinic is licensed to practice in Alabama (license number 2018). The clinic also participates in the medicare program and its NPI number is 1164910543. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (334) 647-1444.

Contact Information

	Dalraida Clinic
	4135 Atlanta Hwy Montgomery AL 36109-3022
	(334) 647-1444
	(334) 647-1404

Map and Direction

Primary Care Clinic Profile

Full Name	Dalraida Clinic
Speciality	Clinic/Center
Location	4135 Atlanta Hwy, Montgomery, Alabama
Authorized Official Name and Position	Eugene Romano (OFFICE MANAGER)
Authorized Official Contact	3342074466
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dalraida Clinic 4135 Atlanta Hwy Montgomery AL 36109-3022 Ph: (334) 647-1444	Dalraida Clinic 4135 Atlanta Hwy Montgomery AL 36109-3022 Ph: (334) 647-1444

NPI Details:

NPI Number	1164910543
Provider Enumeration Date	05/01/2018
Last Update Date	05/01/2018

Medicare PECOS Information:

Medicare PECOS PAC ID	8527318351
Medicare Enrollment ID	O20180829000777

Medical Identifiers

Medical identifiers for Dalraida Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164910543	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	2018 (Alabama)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Dalraida Clinic acts as a billing entity for following providers:

Provider Name	Richard Gebhardt
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1013434695 PECOS PAC ID: 6406118785 Enrollment ID: I20180327000002

Provider Name	Tammie R Washington
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1811468945 PECOS PAC ID: 5799027033 Enrollment ID: I20190507000658

Provider Name	Dhwani S Chotalia
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1669963617 PECOS PAC ID: 9234460809 Enrollment ID: I20191011002117

Reviews and Comments

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Dalraida Clinic - Medicare Primary Care in Montgomery, AL